| Pai Participant 27, PC | |
|
7050 S Madison St Willowbrook IL 60527-5548 | |
| (630) 323-6380 | |
| Not Available |
| Full Name | Pai Participant 27, PC |
|---|---|
| Speciality | Internal Medicine |
| Location | 7050 S Madison St, Willowbrook, Illinois |
| Authorized Official Name and Position | Brittain Brantley (ACTING PRESIDENT) |
| Authorized Official Contact | 3023005138 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pai Participant 27, PC Po Box 639676 Cincinnati OH 45263-9676 Ph: (859) 291-4800 | Pai Participant 27, PC 7050 S Madison St Willowbrook IL 60527-5548 Ph: (630) 323-6380 |
| NPI Number | 1093398539 |
|---|---|
| Provider Enumeration Date | 05/03/2021 |
| Last Update Date | 08/13/2026 |
| Certification Date | 08/13/2026 |
| Medicare PECOS PAC ID | 2668872672 |
|---|---|
| Medicare Enrollment ID | O20210614001032 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093398539 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | () | Primary |
| Provider Name | Michelle Burk |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093817355 PECOS PAC ID: 5597731273 Enrollment ID: I20040903000319 |
| Provider Name | Amy L Rohlfing |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1255335188 PECOS PAC ID: 3779511258 Enrollment ID: I20050727000618 |
| Provider Name | Omer Yusaf |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1669585956 PECOS PAC ID: 7618931627 Enrollment ID: I20081101000103 |
| Provider Name | Christopher J Differding |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1295002715 PECOS PAC ID: 5890962849 Enrollment ID: I20120117000236 |
| Provider Name | Christine E Hermosillo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962838862 PECOS PAC ID: 7911134770 Enrollment ID: I20131226001054 |
| Provider Name | Danielle Pagano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760891766 PECOS PAC ID: 5395965016 Enrollment ID: I20141001001041 |
| Provider Name | Sarah Marie Maas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942619762 PECOS PAC ID: 0941513535 Enrollment ID: I20150727000673 |
| Provider Name | Katherine a Burnley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013397967 PECOS PAC ID: 0749598829 Enrollment ID: I20151009001910 |
| Provider Name | Marsha R Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154595072 PECOS PAC ID: 6305915943 Enrollment ID: I20160309000877 |
| Provider Name | Nicole Renee Nissen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629569843 PECOS PAC ID: 0547519423 Enrollment ID: I20180910002278 |
| Provider Name | Jill L Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891327797 PECOS PAC ID: 5092145524 Enrollment ID: I20200423001315 |
| Provider Name | Kayla L Rokey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033746755 PECOS PAC ID: 8426471426 Enrollment ID: I20200709001853 |
| Provider Name | Walter Lin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952481913 PECOS PAC ID: 9931425295 Enrollment ID: I20201205000160 |
| Provider Name | Mary E Maloney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710592175 PECOS PAC ID: 6608285234 Enrollment ID: I20210511001054 |
| Provider Name | Kayla Catherine Carlile |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841643137 PECOS PAC ID: 9335597467 Enrollment ID: I20231129002097 |
| Provider Name | Emil Fernando |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982968129 PECOS PAC ID: 2567787237 Enrollment ID: I20251022001136 |
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